KENNETH MARLON JACKSON NPI 1902612740

NPI Information

  • NPI: 1902612740
  • Provider Name: KENNETH MARLON JACKSON
  • Classification: Driver - 172A00000X
  • Entity Type: Individual
  • Address: 8630 ANTIOCH RD
    BATON ROUGE, LA
    ZIP 70817
  • Phone: (504) 667-8133

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NPI Details

Kenneth Marlon Jackson is a driver in Baton Rouge, LA. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Kenneth Marlon Jackson NPI is 1902612740. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8630 ANTIOCH RD
BATON ROUGE, LA
ZIP 70817-413
Phone: (504) 667-8133

The enumeration date for this NPI number is 12/6/2024 and was last updated on 12/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1172A00000XDriver002515859LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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